Individual provider · Type 1 NPI

Sara Rose Lake, LPN

Licensed Practical Nurse · Cortland, NY

NPI number 1487800751 Active

Practice location

111 Port Watson St
Cortland, NY 13045-3157

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X282607-1 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1487800751

Sara Rose Lake, LPN's National Provider Identifier is 1487800751, issued on Aug 18, 2008. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Cortland, NY. The record was last updated on Aug 18, 2008.